HomeMy WebLinkAbout2124 Thunderstone Ct - Applications/Furnace - 09/11/2019City of Planning, Developmen4 & Transportation Services
FOt Wlins Community Development & Neighborhood Services
281 North College Avenue
Fort Collins, CO 80524 Main: 970.4162740 Fax 970.224.6134
OVER-THE-COUNTER PERMITS ONLY
This application is to be used to apply for the following permits only (check all that apply). ❑ Air Conditioning
❑ Demolition (interior nonstructural) ❑ Electrical Alteration (not service change) ❑ Gas Lighter ❑ Gas Log
❑ Heating Unit ❑ Lawn Sprinkler ❑ Mobile Home replacement ❑ Roofing ❑ Sewer Line ❑ Photo -voltaic
❑ Ventilation ❑ Water Heater ❑ Water Line ❑ Wood/Pellet Stave (must be EPA certified, provide make, model and
manufacturer).
Complete all applicable information on the application. Incomplete applications will not be accepted.
Application # Vi9j I 0 s ba
Forofte rse only
Date _ September 11, 2019
Sob Site Address (&vuired) Value of Constriction (labor, materials, profit)
2124 Thunderstone Court, Fort Collins, Colorado 80525 $5750.00
Property Owner Name Address City/Slate 71p Phone
Heather Pendleton -Helm 2124 Thunderstone Ct Ft Collins,CO 80525 970-214-8867
Applicant Name Address City/State zip Phone
Christina Evans 1015 Link Lane Ft Co, CO 80524 494-7632
Contractor Address aty/State Zpp Phone
Allen Service 1015 Link lane Ft Co, CO 80524 484-4841
Conlrad3or (Sty of FL Collins Sales Tax # Are you paying taxes here or by report? ❑fiere ❑ Report
Sdfstmrmmzbff IsaVdiedbyalfwaharkm Are you paying with your trust account? VYes ❑ No
10010
Is this a residential or gimmerdal project? Residential ❑ commercial
If residential, is it: 10 Single Family Detached ❑ Condo/tawnhome (single family attached) ❑ Duplex
❑ MultifamiN (apartment) ❑ Garage
If commercial, is m ❑ Bank ❑ Bar 17 church ❑ Hotel/Motel ❑ Medical office ❑ Office ❑ Retail
❑ Restaurant ❑ Other (explain)
Is this bui thing 50 years of age or more? ❑ Yes ❑ No rf w, you naayneed to contad'ffesh2dc Fieorrrdffim
If this is for a demolition permit, what year was the building mnstru ?
DeSCription of work Remm fumand "`°l� "'"' hke "f=
*If lawn sprinldPr/baddiow preventer, must list licensed plumber. If fir"me AJC, must list licensed electrician.
subcontractor::LbtftcampapynameorWoff t ChEns rximse 0
Sectivarr Plumber Mechanicai Roofer Other
-
I hereby acknowledge that I have read this application and state that the above information is complete and correct I agree to
comply with all requirements contained herein and city ordinances and state laws regulating building construction. I know that a
permrit is not valid until it has been paid and issued.
Applicant: 0rt9'uuv£vav1t6
Print Name: Signature ftv�` � Date
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